Mid-diaphyseal anterior tibial stress fractures can be debilitating injuries. They have been described occurring in athletes due to repetitive lower extremity trauma. The purpose of our study was to highlight a case of an athlete sustaining a tibial stress fracture with multiple cortical defects.

We present an 18-year-old collegiate bound athlete who sustained a tibial stress fracture with multiple cortical defects. The clinical decision, after failure of conservative treatment, was made to treat the patient with tibial intramedullary nailing. She was able to return to full unrestricted activities, including high-level sports participation. Our case report specifically describes a case of a high-level athlete with multiple anterior tibial linear cortical defects from a chronic stress fracture.

When conservative management for mid-diaphyseal anterior stress fractures fails, the utilization of prophylactic tibial nailing is a viable option. The decision for surgical intervention is dependent on many factors including patient's activity level and characteristics, failure of conservative management, and radiographic evidence of non-healing stress fractures.
When conservative management for mid-diaphyseal anterior stress fractures fails, the utilization of prophylactic tibial nailing is a viable option. The decision for surgical intervention is dependent on many factors including patient's activity level and characteristics, failure of conservative management, and radiographic evidence of non-healing stress fractures.
Salmonella-infected prosthetic joint infection is rare. We report a patient who developed an infected total hip replacement with Salmonella Typhimurium.

A 65-year-old patient presented with atraumatic groin pain and raised inflammatory markers following gastroenteritis. After a decade of conservative management using suppression antibiotics, she underwent a two-stage revision. Her case was further complicated as she fell before her second-stage sustaining a Vancouver C periprosthetic fracture. Once her infection cleared, a complex second-stage revision was performed using components to include reconstruction of the acetabulum with trabecular metal augments and buttresses, a trabecular metal acetabular revision system component and an endoprosthetic replacement of the upper two-thirds of the femur. Approximately 12 months on, the patient is now mobilizing, pain free.

This case emphasizes the need for a good diagnostic work-up and management process, surgical planning and technique, and highlights the importance of a multidisciplinary team involvement in improving outcomes for patients.
This case emphasizes the need for a good diagnostic work-up and management process, surgical planning and technique, and highlights the importance of a multidisciplinary team involvement in improving outcomes for patients.
The majority of osteochondritis dissecans (OCD) of the elbow occurs in the humeral capitellum in adolescence while OCD in the humeral trochlea is relatively rare. https://www.selleckchem.com/products/LBH-589.html We report a rare case of OCD in the humeral trochlea, which underwent mosaic-type osteochondral autologous transplantation.

A 24-year-old man, who was a gymnastic athlete, complained of severe right elbow pain for 9 years. Image findings revealed a trochlear osteochondral defect with intra-articular loose body. Due to the large defect and duration of the disease, autologous osteochondral transplantation form femoral condyle was performed. Two years after surgery, the range of elbow motion was 0° in extension and 120° in flexion. He had no pain on his elbow.

OCD in the humeral trochlea was treated with mosaic-type osteochondral autologous transplantation form femoral condyle. Despite the large trochlear defect, osteochondral transplantation yielded a satisfactory result and this treatment might be an option for treatment of trochlear OCD.
OCD in the humeral trochlea was treated with mosaic-type osteochondral autologous transplantation form femoral condyle. Despite the large trochlear defect, osteochondral transplantation yielded a satisfactory result and this treatment might be an option for treatment of trochlear OCD.
Osteoid osteoma is a benign osteoblastic bone tumor that mostly arises from the long bones. The acetabulum is a rare site for osteoid osteoma. Moreover, juxta-articular location of the lesion can be associated with delayed diagnosis. We present a case of a juxta-articular osteoid osteoma of the acetabulum that was missed earlier. We also present a novel, easy, and cost-effective way to accurately localize and excise such a lesion, thereby avoiding failure and recurrence.

A 15-year-old female presented with a history of insidious onset pain in the right hip for 18 months. Pain was diffuse over the hip. She had undergone a failed biopsy in another hospital. She visited us 1 month later with persistent pain. Examination revealed tenderness over the right anterior hip joint line with painful terminal hip flexion. Computed tomography (CT) suggested an osteoid osteoma of the superolateral acetabular rim. The patient was planned for CT-guided mini-open excision biopsy of the lesion. CT-guided localization of the lesion was performed under local anesthesia in the CT room, followed by open excision of the nidus in the operating room. Histopathology confirmed the diagnosis and a complete excision. At last follow-up at 1 year, the patient was asymptomatic and returned to normal function.

Osteoid osteoma of the acetabulum is uncommon and the diagnosis is usually delayed. A high index of suspicion is needed to avoid a missed diagnosis and CT-guided approach can help in accurate excision. Our technique to localize and completely excise the lesion is novel, simple, and cost effective and can be easily replicated.
Osteoid osteoma of the acetabulum is uncommon and the diagnosis is usually delayed. A high index of suspicion is needed to avoid a missed diagnosis and CT-guided approach can help in accurate excision. Our technique to localize and completely excise the lesion is novel, simple, and cost effective and can be easily replicated.
Two methods using cannulated headless screws can be used for scaphoid fractures Inserting the screw through the distal fragment and then into the proximal fragment through a palmar approach under direct vision or fluoroscopic guidance and inserting the screw in the proximal-to-distal direction through a dorsal approach with fluoroscopic guidance. These methods are sometimes difficult to use in oblique fractures when trying to achieve screw fixation perpendicular to the fracture plane.The most common mechanism of injury in the scaphoid fracture is forceful wrist hyperextension and punching something. Less commonly, a direct blow to the wrist also can cause a fracture. The mechanism of fracture by a direct blow to the wrist is not completely clear.

We experienced two rare cases of scaphoid fracture in goalkeepers sustained when they saved a goal by contacting the soccer ball with the palm of their hand. Both fractures were proximal oblique fractures. We performed through a dorsal approach to insert the screws in the distal-to-proximal direction under direct vision assisted with fluoroscopy.
Mid-diaphyseal anterior tibial stress fractures can be debilitating injuries. They have been described occurring in athletes due to repetitive lower extremity trauma. The purpose of our study was to highlight a case of an athlete sustaining a tibial stress fracture with multiple cortical defects. We present an 18-year-old collegiate bound athlete who sustained a tibial stress fracture with multiple cortical defects. The clinical decision, after failure of conservative treatment, was made to treat the patient with tibial intramedullary nailing. She was able to return to full unrestricted activities, including high-level sports participation. Our case report specifically describes a case of a high-level athlete with multiple anterior tibial linear cortical defects from a chronic stress fracture. When conservative management for mid-diaphyseal anterior stress fractures fails, the utilization of prophylactic tibial nailing is a viable option. The decision for surgical intervention is dependent on many factors including patient's activity level and characteristics, failure of conservative management, and radiographic evidence of non-healing stress fractures. When conservative management for mid-diaphyseal anterior stress fractures fails, the utilization of prophylactic tibial nailing is a viable option. The decision for surgical intervention is dependent on many factors including patient's activity level and characteristics, failure of conservative management, and radiographic evidence of non-healing stress fractures. Salmonella-infected prosthetic joint infection is rare. We report a patient who developed an infected total hip replacement with Salmonella Typhimurium. A 65-year-old patient presented with atraumatic groin pain and raised inflammatory markers following gastroenteritis. After a decade of conservative management using suppression antibiotics, she underwent a two-stage revision. Her case was further complicated as she fell before her second-stage sustaining a Vancouver C periprosthetic fracture. Once her infection cleared, a complex second-stage revision was performed using components to include reconstruction of the acetabulum with trabecular metal augments and buttresses, a trabecular metal acetabular revision system component and an endoprosthetic replacement of the upper two-thirds of the femur. Approximately 12 months on, the patient is now mobilizing, pain free. This case emphasizes the need for a good diagnostic work-up and management process, surgical planning and technique, and highlights the importance of a multidisciplinary team involvement in improving outcomes for patients. This case emphasizes the need for a good diagnostic work-up and management process, surgical planning and technique, and highlights the importance of a multidisciplinary team involvement in improving outcomes for patients. The majority of osteochondritis dissecans (OCD) of the elbow occurs in the humeral capitellum in adolescence while OCD in the humeral trochlea is relatively rare. https://www.selleckchem.com/products/LBH-589.html We report a rare case of OCD in the humeral trochlea, which underwent mosaic-type osteochondral autologous transplantation. A 24-year-old man, who was a gymnastic athlete, complained of severe right elbow pain for 9 years. Image findings revealed a trochlear osteochondral defect with intra-articular loose body. Due to the large defect and duration of the disease, autologous osteochondral transplantation form femoral condyle was performed. Two years after surgery, the range of elbow motion was 0° in extension and 120° in flexion. He had no pain on his elbow. OCD in the humeral trochlea was treated with mosaic-type osteochondral autologous transplantation form femoral condyle. Despite the large trochlear defect, osteochondral transplantation yielded a satisfactory result and this treatment might be an option for treatment of trochlear OCD. OCD in the humeral trochlea was treated with mosaic-type osteochondral autologous transplantation form femoral condyle. Despite the large trochlear defect, osteochondral transplantation yielded a satisfactory result and this treatment might be an option for treatment of trochlear OCD. Osteoid osteoma is a benign osteoblastic bone tumor that mostly arises from the long bones. The acetabulum is a rare site for osteoid osteoma. Moreover, juxta-articular location of the lesion can be associated with delayed diagnosis. We present a case of a juxta-articular osteoid osteoma of the acetabulum that was missed earlier. We also present a novel, easy, and cost-effective way to accurately localize and excise such a lesion, thereby avoiding failure and recurrence. A 15-year-old female presented with a history of insidious onset pain in the right hip for 18 months. Pain was diffuse over the hip. She had undergone a failed biopsy in another hospital. She visited us 1 month later with persistent pain. Examination revealed tenderness over the right anterior hip joint line with painful terminal hip flexion. Computed tomography (CT) suggested an osteoid osteoma of the superolateral acetabular rim. The patient was planned for CT-guided mini-open excision biopsy of the lesion. CT-guided localization of the lesion was performed under local anesthesia in the CT room, followed by open excision of the nidus in the operating room. Histopathology confirmed the diagnosis and a complete excision. At last follow-up at 1 year, the patient was asymptomatic and returned to normal function. Osteoid osteoma of the acetabulum is uncommon and the diagnosis is usually delayed. A high index of suspicion is needed to avoid a missed diagnosis and CT-guided approach can help in accurate excision. Our technique to localize and completely excise the lesion is novel, simple, and cost effective and can be easily replicated. Osteoid osteoma of the acetabulum is uncommon and the diagnosis is usually delayed. A high index of suspicion is needed to avoid a missed diagnosis and CT-guided approach can help in accurate excision. Our technique to localize and completely excise the lesion is novel, simple, and cost effective and can be easily replicated. Two methods using cannulated headless screws can be used for scaphoid fractures Inserting the screw through the distal fragment and then into the proximal fragment through a palmar approach under direct vision or fluoroscopic guidance and inserting the screw in the proximal-to-distal direction through a dorsal approach with fluoroscopic guidance. These methods are sometimes difficult to use in oblique fractures when trying to achieve screw fixation perpendicular to the fracture plane.The most common mechanism of injury in the scaphoid fracture is forceful wrist hyperextension and punching something. Less commonly, a direct blow to the wrist also can cause a fracture. The mechanism of fracture by a direct blow to the wrist is not completely clear. We experienced two rare cases of scaphoid fracture in goalkeepers sustained when they saved a goal by contacting the soccer ball with the palm of their hand. Both fractures were proximal oblique fractures. We performed through a dorsal approach to insert the screws in the distal-to-proximal direction under direct vision assisted with fluoroscopy.
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